Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $110.00 / $213.75	Facility		$42.92	$110.00	$213.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.81 / $59.20	Professional		$20.72	$25.81	$59.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $77.92 / $106.33	Facility		$48.10	$77.92	$106.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $34.28 / $52.87	Professional		$21.31	$34.28	$52.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $72.56 / $78.29	Professional		$29.60	$72.56	$78.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $61.73 / $157.50	Facility		$26.80	$61.73	$157.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.69 / $48.90	Professional		$29.60	$32.69	$48.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $36.61 / $73.80	Facility		$29.60	$36.61	$73.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $35.82 / $85.84	Facility		$25.81	$35.82	$85.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.99 / $44.19	Professional		$29.60	$32.99	$44.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.72 / $91.38 / $122.29	Facility		$57.72	$91.38	$122.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $30.59 / $73.02	Professional		$24.52	$30.59	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.92 / $35.52	Professional		$12.43	$16.92	$35.52